090 6432187


Useful Links

Please use the form below for Repeat Prescription Requests.

Repeat Prescription Request Form


See below for a list of commonly requested Application Forms.

Medical Card and GP visit application

Medical Card and GP Visit Card Application Form - People Aged 70 Years or Older

Medical Card Change of Doctor Form

GP Visit Card Registration Form (Under 6's)

Drugs Payment Scheme Application Form

Long Term Illness Scheme Application Form

Maternity benefit form.  (Needs to be signed and stamped by the practice after the 24th completed week of pregnancy and no less than 6 weeks before the commencement of maternity leave.)

Driving license application form 

Driving license eyesight form 

Driving license medical form 

European Health Insurance Card Application Form - or apply online


Employment Related Providers:

St Paul's Garda Medical Aid Society

ESB Medical Provident Fund


Health Cash plans:
HSF Health Plan